My Boone Health Winter 2020

Boone Health WINTER 2020

Correcting a Common Concern PG. 2 2

PG. 10

Getting Back on Target

Table of Contents 20

President Jim Sinek Director of Marketing & Public Relations Ben Cornelius Communications Consultant II Jessica Park Digital Communications & Marketing Consultant II Madison Loethen Marketing Consultant I Erin Wegner Photography Sadie Thibodeaux Contributing Writers Tiffany Schmidt

Follow us Check us out on Facebook, Twitter, Instagram, Pinterest and YouTube.

12

18

26

Please submit comments or feedback to bcc1170@bjc.org or call 573.815.3392 1600 East Broadway Columbia, MO 65201 573.815.8000

For a FREE subscription, call 573.815.3392 or visit myBooneHealth.com and click on the subscription link on the right side of the page.

5

A Note from Jim

18

Crazy for Cranberries

6

Hospital Headlines

20

In a Heartbeat

8

Simple Touch-Ups

22

A Common Problem

for Your New Year

Get to Know a BHC Doctor

10

24

On Target

Get to Know a BHC Nurse

12

25

Winter Wellness Made Easy

26

Tech Support

14

Corporate Wellness Programs

28

Winter Workout

16

Bringing Up Boone Babies

30

Foundation News

Number one five times.

Only one with five stars.

Boone Hospital Center has been ranked as the top hospital in mid-Missouri for five years in a row by U.S. News and World Report.

Boone is also the only hospital in mid-Missouri to achieve a five star rating from the U.S. Centers for Medicare and Medicaid Services.

That’s five - plus five - more reasons to believe in Boone.

A NOTE FROM JIM

The Magnet Recognition Program focuses on advancing three goals within each Magnet organization: 1. Promoting quality in a setting that supports professional practice 2. Identifying excellence in the delivery of nursing services to patients 3. Disseminating best practices in nursing services

High Expectations: Magnet Designation

O

n October 21, 2019, Boone Hospital Center was informed by the American Nurse Credentialing Center that it had attained Magnet recognition for a fourth consecutive time. Only 70 health care facilities worldwide have received this recognition four times.

The Magnet designation is the highest honor a health care organization can receive for professional nursing practice. The Magnet program was initially formed in 1990 as the Magnet Hospital Recognition Program for Excellence in Nursing Services. Its criteria were based on findings from a 1983 study conducted by the American Academy of Nursing’s Task Force on Nursing Practice in Hospitals, which identified 14 characteristics that created an environment conducive to attracting and retaining well-qualified nurses who promoted quality care. These 14 characteristics became known as the Forces of Magnetism.

In 2002, the program was officially changed to the Magnet Recognition Program®.

With Magnet recognition comes significant pressure on all of our nurses, as well as the rest of the staff, to be perfect all of the time. Perfection, while the ultimate goal, is difficult consistently to achieve. Yet, as a Magnet hospital, our team, our patients, and our community reasonably expect consistent perfection in the care we provide and the experience they receive.

I recently received a letter from a patient who had a less than perfect experience at Boone Hospital Center. In reviewing the patient’s stay at Boone Hospital, we asked if our level of care was consistent and met the high standards a Magnet hospital should provide. That’s the pressure of the high levels of expectation that hospitals like Boone voluntarily place on themselves.

It would be easier and far less pressure for Boone to aspire to and become comfortable with less than perfection for our patients. We will never do that. Whether it is a five-star rating from Medicare, being ranked #1 in mid-Missouri by U.S. News and World Report, or being designated a Magnet hospital, the Boone Hospital team will never be satisfied until every patient receives excellent care each and every time.

We have the best nurses, technicians, housekeepers, therapists, transporters, switchboard operators, admitting representatives, recruiters, and many other support and clinical staff along with our medical staff. We all strive for perfection and are deeply troubled and disappointed when we fall short of perfection, as described in the letter I received. We take our patients’ feedback as a valuable opportunity to learn and change in our pursuit of excellence and perfection in the delivery of care to patients, a principle of the magnet program.

Being a Magnet hospital – again – certainly brings Boone Hospital Center attention as well as pressure for our teammates to consistently perform at a higher level than would be expected at other hospitals. On behalf of the Boone Hospital Center team, I say, “Bring it on!”

Jim Sinek President, Boone Hospital Center

MyBooneHealth.org

5

HOSPITAL HEADLINES

Boone Medical Group South Sneha Chum, MD, a board-certified Internal Medicine physician, joined Boone Medical Group South on October 1, 2019.

Dr. Chum received her medical degree from Dayanand Medical College and Hospital in Punjab, India, and completed her Internal Medicine residency at the University of Texas in Austin.

Patients can visit Dr. Chum for routine preventative care, well woman exams, and screenings. Dr. Chum also treats asthma, COPD, diabetes, hypertension, hypothyroidism, and more. She is currently accepting new patients over the age of 18.

Dr. Chum strongly believes in the philosophy that “prevention is better than cure.” She says, “I enjoy establishing longitudinal relationships with my patients and motivating them to take charge of their health.”

Originally, Dr. Chum is from India, but she moved to the United States for higher education. She moved from Texas to Missouri and has been practicing medicine at Boone Hospital since 2018. Outside of work, Dr. Chum enjoys spending time with her fiancé and her dog, Harry. She also loves hiking and exploring local restaurants.

Boone Medical Group South is located at 900 W. Nifong, Suite 101, Columbia, MO, 65203, and can be reached at 573.499.9009. For more information, please visit boonemedicalgroup.org

TAVR Procedures at Boone

Boone Lab Services Continues Expansion Boone Hospital Center continues to add laboratory draw clinics in the midMissouri area.

Opening January 2020 Broadway Medical Plaza 1 1601 E. Broadway, Suite 140 Opening February 2020 303 N. Keene Street, Suite 102 Opening January 2020 Boone Hospital Moberly Medical Plaza, 300 North Morley Street, Suite A

CURRENT LOCATIONS Boone Hospital Center 1600 E. Broadway, Main Registration Nifong Medical Plaza 900 W. Nifong, Lower Level Broadway Medical Plaza 2 1605 E. Broadway, Suite 220 Boone Hospital completed over 100 TAVR procedures in 2019.

For more information on TAVR, see story on page 20.

6

BOONE HOSPITAL CENTER

Winter 2020

Broadway Medical Plaza 4 1705 E. Broadway, Suite 270

Boone Hospital Center Receives Highest Nursing Recognition

From left to right: Linda Antal, former Professional Practice Manager; Jim Sinek, President; Laura Noren, Executive Director of Patient Care Services; Monica Smith, Vice President of Patient Care Services and Chief Nursing Officer.

Boone Hospital Center has attained Magnet® recognition as part of the American Nurses Credentialing Center (ANCC) Magnet Recognition Program® for a fourth consecutive time.

Only 70 health care facilities worldwide have received this recognition four times. Magnet is the highest honor a health care organization can receive for professional nursing practice.

“This is an incredible honor for the nurses and the entire patient care team at Boone Hospital Center,” says Monica Smith, Boone Hospital Center Vice President and Chief Nursing Officer. “At Boone, every employee takes care of patients – whether in nursing, food service, environmental services or finance. This recognition reflects not only the exceptional care provided by our nursing team, but shows how our entire team comes together to take care of our patients.”

The Magnet program focuses on superior clinical care outcomes by advancing three goals: promoting quality of care, identifying excellence in the delivery of nursing services to patients and disseminating nursing care best practices. To achieve Magnet recognition, organizations must pass a rigorous and lengthy process, requiring widespread participation from hospital leadership and staff.

“It’s another reason to Believe in Boone,” says Jim Sinek, Boone Hospital Center President. “Boone has been rated

The Boone Hospital team celebrates Magnet recognition.

number one in mid-Missouri by U.S. News and World Report five years in a row. We are the only five-star hospital in mid-Missouri, according to the U.S. Centers for Medicare and Medicaid, and now we are one of 70 facilities in the world with four Magnet Designations. It’s a credit to our employees and our medical staff, and it’s something our community should be proud of.“ Boone Hospital Center was initially designated a Magnet hospital in 2005 and received the credential again in 2009 and 2014. Hospitals must reapply for Magnet recognition every four years.

MyBooneHealth.org

7

Simple Touch-Ups

FOR YOUR NEW YEAR

By Graham A. Colditz, DrPH, MD, MPH, Siteman Cancer Center

8

BOONE HOSPITAL CENTER

Winter 2020

T

his is not your typical New Year’s resolution health and fitness column – those often focus on big, sweeping changes, such as losing 40 pounds or training for a marathon. Here, instead, we’re heading in the opposite direction by focusing on smaller, easierto-accomplish changes. Let’s call them New Year’s touch-ups!

While big New Year’s resolutions can be fantastic and really beneficial, smaller goals can be easier to start and to include in your daily routine.

Although they might not feel as bold as bigger resolutions, they can still have an important impact on your health, helping to lower your risk of cancer and other important diseases.

Best of all, they’re simple. You might be doing some of them already. If so, keep them up and try to work in new ones. If these are mostly new, pick one or two to work on. And once you have them down, pick up others. There’s no need to rush.

STAND MORE

Most of us spend too much time sitting, and it’s increasing our risk of weight gain, diabetes, heart disease and maybe even some cancers. If you have to sit for work or school, try to stand up once or twice an hour for a few minutes. Standing desks are even better. At home, try standing when watching TV or spending time on your computer or phone.

GO MEATLESS ONE DAY A WEEK

You might have heard of Meatless Mondays, but you can pick any day of the week to give it a try. A plant-based diet has major health benefits, so pick one day a week to really focus on fruits, vegetables and whole grains. If you’re not ready to go completely meatless, try baked or grilled fish one night instead of red meat.

STEP ON YOUR BATHROOM SCALE

“Easy, but not fun” may best describe this one, but stepping on your scale regularly – once a day or once a week – is a great

way to keep your weight in check. If you notice your weight creeping up, you can make small changes to how much you eat and how active you are.

SLOW DOWN

We tend to rush through our days, and this often includes our meals and snacks.

Try to slow down the next few times you eat. Take a minute to sit quietly before you start, then eat much more slowly than you normally would. You may find you’re satisfied with less food than you would be usually.

SNEAK IN SOME VEGETABLES

Adding more vegetables to your diet is always a good idea. One easy – and somewhat sneaky – way to do it is to grate vegetables into some of your usual dishes. Carrots, squash and cauliflower practically disappear when grated into soups, casseroles and pasta sauce, but they provide a good nutrition boost.

PICK LOW- OR ZERO-SODIUM CANNED FOODS

Most people eat too much sodium, which can increase their risk of high blood pressure, stroke, heart disease, even stomach cancer. Canned foods can be a major source of sodium, so choosing zero- or low-sodium options can be an easy way to cut back.

CUT BACK ON SUGARY DRINKS

KEEP SUNSCREEN WITHIN ARM’S REACH

Broad-spectrum SPF 30 or higher sunscreen provides good protection against the sun’s damaging rays. But it can’t do its job if you forget it at home.

Keep some backup sunscreen in your car, backpack, desk, purse or other easy-access spots. This way, when you’re ready to go outside, you’ll have it ready to put on.

New Year’s is filled with promise and energy, which makes it a wonderful time to set new health goals for ourselves.

Trying these touch-ups can be a great way to harness that potential and improve your health in 2020 and beyond.

It’s your health. Take control. Happy New Year.

Dr. Graham A. Colditz, associate director of prevention and control at Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine in St. Louis, is an internationally recognized leader in cancer prevention.

As an epidemiologist and public health expert, he has a long-standing interest in the preventable causes of chronic disease.

Colditz has a medical degree from The University of Queensland and master’s and doctoral degrees in public health from Harvard University’s T.H. Chan School of Public Health.

Sugary drinks – such as sodas, energy drinks, juice drinks and many coffee drinks – are a major source of extra calories and have been found to increase the risk of obesity, diabetes and heart disease. Drinking fewer sugary drinks is an easy way to shave calories from your day. And getting down to zero is best. Try no-calorie fizzy water and unsweetened coffee and tea instead.

MyBooneHealth.org

9

ON TARGET After an unexpected amputation, Boone Therapy helps a hunter adjust to life with a prosthetic leg.

L

arry Springer loves the outdoors.

Whether he’s hunting, fishing or camping with his wife Kathy, if he’s outdoors, he’s happy. His love for hunting started at 14, and he enjoys hunting pheasants, squirrels and rabbits.

He looks forward to November every year when he can pheasant hunt with his two bird dogs – an English Pointer named Duke and a Brittany named Bonnie. Both dogs have been part of Larry’s pack for 3 years, and he loves hunting with them.

In November 2018, Larry noticed he was having pain in his right leg. He was a little concerned, but he had already planned a trip to spend Thanksgiving with his sister in Florida. This would be Kathy’s first trip to the beach, so even though his pain was still present, Larry was looking forward to this trip. Unfortunately, while they were in Florida, Larry noticed his pain had started to get worse.

After returning home, Larry scheduled a visit with his physician. There he found out he had two blood clots in his right leg.

Next he scheduled an appointment with a surgeon where he learned the hard truth; there was too much damage done to his leg, and they wouldn’t be able to save it. He was now faced with preparing himself for an amputation. This came as a complete shock to Larry as he never thought they wouldn’t be able to save his leg. Larry had his right leg amputated above the knee in December 2018.

10

BOONE HOSPITAL CENTER

Winter 2020

Learn more at boone.org/therapy

After his surgery, Larry met Michael Darby, CP, of Darby Orthotics and Prosthetics, who got Larry measured for his prosthetic. Larry got an endoskeletal above knee prosthesis.

“When I make an above knee prosthetic, I tend to make something that is relatively easy for them to get on and off and one that is relatively safe,” says Darby.

Larry’s prosthesis allows him to wear tennis shoes and has a strap that holds it on. But once he is done with therapy, he may choose to use a prosthetic that is more complicated. Darby explains, “The feet [for the prosthetic] are very specific to the patient’s activities, as well as their height and weight.”

To learn how to walk and use his prosthetic, Larry has been working with Suzanne Douglas, a Physical Therapist at Boone Therapy, the hospital’s outpatient rehabilitation service. Larry’s therapy includes walking, climbing stairs and exercises to help him put more weight on his prosthetic.

“It can be extremely difficult for individuals with lower limb amputations to place faith and trust into their new prosthetic limbs, to know it will be there to support them,” Suzanne explains.

Right now, Larry is able to walk with the help of a walker, but is unable to walk on his own yet. While therapy is helping Larry get adjusted to this new way of life, his ultimate goal is to be able to walk on his own and get back to pheasant hunting with his dogs.

“Imagine standing on a lower limb that you aren’t able to fully feel or sense,” Suzanne says. “Relearning to walk with a prosthetic limb is challenging and difficult, and those going through this training should be commended.”

One way Boone Therapy helps Larry prepare for his goal of returning to his hunting lifestyle – some of his therapy sessions include shooting a Nerf gun at targets while he stands on foam, to simulate uneven ground outside.

Through this experience, Larry has kept his sense of humor. He admits that shooting targets with a Nerf gun can be challenging, because they don’t have the best aim, but he can still joke. “I don’t

know why they won’t let me bring my real guns in here,” he says with a smile.

“Physical therapy focuses on presenting our amputee clients with challenges that may lie ahead with use of their prosthetic limb,” says Suzanne. She adds that the goal is to help people like Larry achieve “functional ambulation,” or the ability to walk with an assistive device.

When asked about his favorite part of therapy, Larry says fondly that it’s definitely the people. He says with a smile, “They’re so friendly. I love them all.”

When asked about what part of therapy has been the hardest for him, he very

calmly says, “Nothing. I’m not a quitter.”

Boone Therapy has also helped Larry work on his progress at home. He makes sure he spends time each day walking. He’s able to stand at the sink to wash dishes, and he still does all the cooking, which he loves.

Larry looks forward to being able to return to pheasant hunting. Until then, he still enjoys spending time outside, fishing with his grandson, whom he calls his “little fishing buddy” or shooting clay pigeons.

On a recent trip to the range, he was able to hit 99 out of 100 targets.

Larry says, “That was not good enough, because I never miss!” By Erin Wegner

MyBooneHealth.org

11

WINTER WELLNESS MADE EASY A Boone Hospital Center nurse offers easy tips to feel great even when the weather isn’t.

A

fter the rush of the holidays come the winter blahs – we’re more tired, less motivated or fighting a nasty cold. But this slump isn’t inevitable or unpreventable. Boone Hospital Center’s Health Promotions Nurse Brenda Wilson has a short list of simple things you can do to feel well all year round.

STAY HYDRATED

Proper hydration isn’t only a summertime concern. Heavier clothing makes us sweat, but sweat evaporates more quickly in cold air, so we don’t notice when we’re perspiring. Indoor heating also makes the air dryer, which slowly dehydrates us.

“We lose more fluid than we think we do,” Brenda explains. “It’s why our skin gets dry in the wintertime. Water is a nutrient that carries other nutrients throughout your body. You have to have fluid for your body to function properly.

Dehydration can make you feel tired, dizzy or light-headed.”

You don’t need to drink a glass of ice water, either. Hydrate with warm beverages like tea, apple cider or hot chocolate. Limit caffeine and alcohol – both can dehydrate you. Up your water intake by eating fruits and vegetables with high water content, like pears, tomatoes, cucumbers, celery or spinach.

“Drink fluids like you would any other time of year,” Brenda advises. “If you’re exercising, definitely make sure you stay hydrated.”

STAY ACTIVE

Our need for exercise doesn’t change with the weather. Regular physical activity is good for our bodies and moods. You don’t need to make big

12

BOONE HOSPITAL CENTER

Winter 2020

resolutions to get fit, either. Joining a gym or hiring a personal trainer are great ways to stay motivated, but they’re not your only options.

“Just do something different,” Brenda recommends. “Go to your favorite big-box store and walk laps around the aisles before you make your purchase.

It’s an easy way to get extra steps!”

You can exercise at home, too.

YouTube and fitness sites offer video instructions and online classes for free or minimal costs. Brenda also recommends a smartphone app, like 7-Minute Workout, which mixes cardio with resistance training: “The resistance training uses bodyweight, so you don’t need equipment!”

If you lack the space for a treadmill, Brenda recommends using resistance bands, which can be used for many exercises and store easily.

When exercising outside during winter, dress to stay warm but not overheat. Dress in layers and wear moisture-wicking fabrics. Avoid exercising outdoors in icy conditions – black ice can make a slippery surface look deceptively safe. And don’t forget your sunscreen.

WEAR SUNSCREEN

“You’ve got to keep using sunscreen, period,” Brenda says. Even with shorter days and less time outside, we risk exposure to skin-damaging UV rays that cause premature aging or skin cancer, including melanoma.

On a bright day after a snowfall, you can get a bad sunburn because the snow reflects sunlight. Before you shovel snow or ski, apply sunscreen to your face and other exposed areas of your skin. Sunscreen adds a protective layer of moisture on cold, dry and windy days.

Don’t avoid the sun, either. Studies have shown that changing light levels in winter can cause seasonal depression.

Spending five to 10 minutes outside on

a sunny day or sitting in a naturally lit room can boost your mood.

GET YOUR VITAMIN D

Exposure to sunlight can boost your body’s vitamin D production – except during Missouri winters. Brenda says, “Where we are, latitude-wise, we don’t get the best rays of sunlight for vitamin D, which is our primary source. And while sunscreen protects your skin, it further limits vitamin D production.”

Too little vitamin D can make you feel exhausted or depressed. Because your body uses vitamin D to build a responsive immune system and strong bones, a deficiency might make you prone to infections, osteoporosis and other health conditions.

Brenda recommends foods high in vitamin D like fatty fish (salmon, tuna, mackerel), dairy products, egg yolks, vegetables and fruits, and fortified orange juice. If you have risk factors that make it hard to get adequate vitamin D from food, like a gastrointestinal condition or vegetarian diet, talk to your primary health care provider about supplements. If your provider suspects a deficiency, they can check your vitamin D levels with a blood test.

EAT YOUR FRUITS AND VEGETABLES

When it’s cold we often enjoy comfort foods with grains, meat and dairy – and not many vegetables or fruits.

Brenda says, “When we skimp on fruits and vegetables, we skimp on nutrients and fiber. Fiber keeps you regular, helps you feel full, and can lower your LDL cholesterol.”

Enjoy a variety of seasonal fruits and vegetables, like citrus fruits and root vegetables in the winter. Find a

recipe online with a vegetable or fruit you haven’t eaten before or didn’t like growing up.

“A lot of us glaze over at the idea of root vegetables,” Brenda says. “But preparation makes a difference. Roasted vegetables are wonderful. My husband and I thought we hated brussels sprouts because when we grew up, we only had them boiled. But roasted or pan-seared brussels sprouts with a little balsamic glaze or parmesan are stellar!”

DON’T SHARE A COLD OR FLU

“If you’re sick, stay home and don’t share!” Brenda says. “Limit contact with family members as much as you can. Just because one person has a flu or cold doesn’t mean the whole house has to get it.”

Proper hand hygiene is a key defense against infectious disease. Clean your hands before touching your eyes, nose and mouth; before preparing or eating food; and after using the restroom. You can use alcohol-based hand sanitizers if your hands aren’t visibly dirty.

Cover coughs and sneezes using your arm or your shirt, not your hand.

Colds and flu spread through moisture droplets that spray when we cough or sneeze. The viruses can live on surfaces.

“If you cough into your hand, you’re inevitably going to touch something else, and those germs can lay there for a few days,” Brenda explains.

If you have flu symptoms, see your primary care provider within 48 hours to get tested, so that they can prescribe antiviral medication to lessen the severity of your flu. Flu symptoms set in rapidly and include extreme fatigue, body aches and fever, which are less common with colds.

Finally, if you’re sick, don’t push yourself. Taking a sick day helps you recover more quickly. Give yourself time to rest and stay hydrated. By Jessica Park

MyBooneHealth.org

13

Employees’ Health Boone Electrical Cooperative understands the value of keeping its employees healthy.

PROMOTING EMPLOYEE HEALTH has become more than simply offering benefits. Investing in employees through wellness programs is a growing movement within the business sector. Boone Hospital Center’s corporate wellness program works to partner with businesses within the Columbia area to provide nutritional and fitness training and support for their employees.

For over 20 years, Boone Electric Cooperative has participated in Boone Hospital’s wellness initiatives, including a health fair held every October. The health fair is mobile

14

BOONE HOSPITAL CENTER

Winter 2020

and held on campus, so that employees are able to stop by throughout the workday at a time that is convenient with their workflow.

Boone Electric Cooperative pairs the fair with an incentive program to encourage fitness and wellness in employees.

Employees are offered the options for flu shots, lab draws, blood pressure and body composition measurements, and fitness and mental health training. Blood work is also offered, testing for cholesterol, prostate specific antigen (PSA) numbers, or thyroid numbers.

GENERAL PSA RANGE

40’s 0-2.5 ng/mL 50’s 0-4 ng/mL 60’s 0-4.5 ng/mL 70’s 0-6.5 ng/mL

Chris Rolfing spent just over 32 years with Boone Electric. For Chris, the health fair was an opportunity to provide insight into his general health. He was especially interested in tracking his PSA levels, as his father had been diagnosed with prostate cancer.

PSA is an antigen produced by the prostate gland. While all men, especially those advancing in age, will have some level of PSA, rising levels can be an early detector of prostate cancer. “I may be a little overcautious, but every year I would write down my level and keep track of any changes,” says Chris. “I counted on Boone Hospital to give me a PSA level, and I would simply look for a change.”

In 2016, Chris’ PSA levels went from 3.78 to 5.07 ng/mL - slightly higher than the safe range, but not alarmingly high. While there is no specific “normal” PSA level, generally a level of 4.0 ng/mL is considered safe. Some men have higher levels than others naturally, however, Chris’ numbers were moving up quickly.

When Chris brought his tracked levels to his doctor’s attention, his doctor recommended a biopsy, and Chris discovered that he did in fact have prostate cancer. Luckily, because of the early detection due to Chris’ PSA tracking, the cancer had not spread from the prostate.

By January 2018, after a radical prostatectomy, Chris now has PSA levels that range right at 0 ng/mL. “PSA is just one test that may give a little insight into your body’s functions,” says Chris. “I probably wouldn’t have noticed a change without the Boone Hospital program.”

Though the health fairs that Boone Hospital offers are not substitutes for an annual physical, Chris encourages everyone to take advantage of the tests. “If this program is a part of your job, take advantage of it, and note any changes in numbers,” he says. “The change in the numbers were my red flag.” By Tiffany Schmidt For more information on Boone Hospital’s corporate wellness programming, visit boone.org/ corporatewellness or contact Jeff Zimmermann at 573.815.3263 or jeffrey.zimmermann@bjc.org.

MyBooneHealth.org

15

BRIN GIN G UP BO O N E BABIES

WAYS TO CARE FOR BABY IN THE WINTER Caring for a baby in the wintertime can be challenging, but knowing and taking a few precautionary measures can protect your child from problems that could arise as cold temperatures set in, both outside and indoors.

As a registered nurse with over a decade of experience in caring for mothers and babies, and as a mother myself, I’m fully aware of the sometimes overwhelming responsibilities of caring for an individual who completely depends on you. This is especially true in winter. These tips will hopefully help you protect your little one through this harsh season in Missouri.

BY MARIA BICKELL, BSN, RN, IBCLC, BOONE FAMILY BIRTHPLACE

16

BOONE HOSPITAL CENTER

Winter 2020

NEED MORE SUPPORT?

1. Practice good hygiene for you and your baby. Proper hand hygiene can provide the best protection against viral illnesses which are common during colder months. At gatherings with family and friends, ensure that anyone who wants to hold or touch your baby has thoroughly washed their hands first. Don’t neglect your own hygiene or health, either!

2. Protect your baby’s skin. Babies have extremely sensitive skin, so it’s important to protect it from the harsh atmosphere outside and dry air indoors.

Increased temperatures in the home can make the air and your baby’s skin drier.

Consider using a humidifier. Applying unscented lotion to baby’s moistened skin following a bath can also help. Daily water baths are typically fine but keep bath time short and don’t use harsh soaps unless absolutely necessary. Keep the room temperature between the bathroom and bedroom balanced.

3. Dress your baby for warmth and safety. Adequate clothing is essential when baby goes outside, but take care to avoid overheating or constriction. Going outside for a short time is fine as long as the temperature or wind chill are not extreme, like negative temperatures.

Refrain from letting your baby play in the snow if they’re younger than a year old.

Cover your baby from head to toe and layer in threes – start with a lightweight, soft base followed by a middle, slightly heavier

layer, then add a water and wind-resistant top layer. Consider mittens instead of gloves. Make sure your baby has a hat that covers their ears. One of the most accurate locations to check your baby’s temperature is on the back, or nape, of the neck.

When transporting your baby by car, it is extremely important to remove bulky layers, like a coat or bunting, before you buckle them into the car seat. To keep your baby warm in the car seat, you can use a blanket (or the coat as a blanket), laying it over the seat straps or harness.

4. Practice safe sleeping. It’s important to avoid excessively heating your baby or their room. Excessive sweating can cause rashes, and overheating puts an infant at higher risk for Sudden Infant Death Syndrome, or SIDS. The best room temperature is between 68 and 72°F. Dress your baby in clothing that covers their extremities. You probably don’t need to dress your baby in layers unless the sleeping area is drafty. Avoid loose bedding or blankets in the crib – if you need an extra layer to keep your baby warm, consider a sleep sack instead.

5. Give your baby an immune boost.

Stay up to date on your child’s vaccinations, and don’t stop breastfeeding. Both will help boost your baby’s immunity, so they will have better defenses if they’re exposed to illnesses. Don’t hesitate to contact your baby’s doctor if you have questions about your child – when it comes to your child’s health, no question is a dumb one!

Bringing Up Boone Babies is a monthly support group provided by Boone Family Birthplace.

We meet on the third Thursday of each month at 10 a.m. at Boone Hospital Center. Each hourlong session is led by a Boone Family Birthplace nurse and includes a short presentation on a different topic, followed by open group discussion.

This support group is free and open to all parents of newborns, infants, and toddlers – and you’re welcome to bring your baby with you! No registration is required.

For a list of upcoming dates and information, join our Bringing Up Boone Babies Facebook group, visit boone.org/ BringingUpBooneBabies MyBooneHealth.org

17

CRA ZY F O R

Cranberries Cranberries don’t just come in a can around the holidays.

These berries can be a fresh addition to any feast!

Cranberries are one of the few fruits native to North America. They have been used as food, medicine and dye for hundreds of years.

Cranberries are a great source of many nutrients. One of the major nutrients found in cranberries is vitamin C, although cooking these tart fruits will destroy much of the vitamin C due to its susceptibility to heat. Cranberries are also high in certain plant compounds, called polyphenols, and antioxidants.

Because most of these compounds are found in the skin of cranberry, drinking cranberry juice may not give you the same health benefits. Cranberry juice also lacks fiber and is usually diluted with other fruit juices to offset the tartness of the cranberries. To get the most health benefits, enjoy cranberries in their whole form, such as in this easy homemade sauce you can prepare in a slow cooker! By Kate Mirly, MS, RDN, LD, Boone Hospital Center Registered Dietitian

Cranberry Nutrition Facts (for 1 cup of raw, unsweetened cranberries)

Calories: 46 Fat: 0 grams Protein: 0 grams Carbs: 12 grams Sugar: 4 grams Fiber: 5 grams 18

BOONE HOSPITAL CENTER

Winter 2020

Slow-Cooker Cranberry Sauce DIRECTIONS 1. In a slow cooker, combine orange juice, water, brown sugar, white sugar and cinnamon. Rinse cranberries and stir in with rest of ingredients.

2. Cook on high for 3 hours, stirring once each hour.

3. Remove lid and stir well, until thickened.

4. Cook on high for an additional 45 minutes to 1 hour if sauce has not yet thickened or if the cranberries have not yet popped open.

RECIPE TIPS • Add fresh orange slices or orange zest while sauce is cooking for additional citrus undertones.

• Garnish with orange zest and cinnamon sticks when serving.

• To decrease the amount of added sugars, you can replace ½ cup white sugar with ½ cup of Splenda.

INGREDIENTS

(Serves 12)

12 oz package Cranberries, fresh ½ cup Orange Juice ½ cup Water

½ cup Brown Sugar ½ cup White Sugar ¼ teaspoon Cinnamon

NUTRITION

(per serving)

Calories: 85 Fat: 0 grams Protein: 0 grams Carbohydrates: 22 grams MyBooneHealth.org

19

IN A

Heartbeat

Richard Mellitt, MD is a cardiothoracic surgeon with Missouri Heart Center

TAVR has given doctors at Boone a minimally invasive alternative to open heart surgery 20

BOONE HOSPITAL CENTER

Winter 2020

O

pen heart surgery can be a scary procedure, and one you hope to never hear your cardiologist recommend. Yet, with years of heart trouble under his belt, Donald Mosby was no stranger to the idea. In 1997, Donald underwent his first open heart surgery.

To this day, Donald vividly remembers the extreme pain he felt throughout the lengthy recovery process.

Since then, Donald has become something of a regular at Boone Hospital.

His doctors have closely monitored his progress, completing another eight surgeries over the years. “My doctors and Boone Hospital Center are the reason I’m 85,” he laughs.

Donald’s most recent procedure was completed this May. At his previous appointment, Donald’s doctors had agreed that he would need another procedure, an aortic valve surgery, to restore the blood flow through his heart. However, instead of another open heart surgery, with the help of cardiovascular and thoracic surgeon Richard Mellitt, MD, Donald’s doctors recommended a TAVR surgery.

Transcatheter Aortic Valve Replacement (TAVR) is a minimally invasive surgery that is completed to restore the blood flow from the heart to the body. “This has its best application in older patients,” Dr. Mellitt explains.

The aortic valve opens allowing blood to flow from the aorta into the heart and then travel through the body. With advancing age, the valve may begin to calcify and narrow instead of operating at full diameter, it may begin to shrink in size. A healthy aortic valve should open to roughly the size of a garden hose, but may begin to shrink down to the size of a straw. As a result, the heart must work harder to circulate blood, resulting in fatigue or chest pain.

The TAVR procedure is relatively new to Boone Hospital. TAVR was perfected in England for about 10 years, and only brought to the United States two years ago.

Prior to TAVR, doctors would perform open heart surgeries to fully remove the aortic valve and replace it with a new valve.

“It’s the greatest procedure I’ve ever seen,” says Donald. “I went in, came out a

few hours later, woke up and had no pain.”

In fact, Donald didn’t feel any noticeable effect. For a moment, Donald recounts that he feared that something had gone wrong, and the doctors were unable to complete the surgery. After speaking with the nurse, he realized the surgery had gone accordingly, but was in shock that he felt no presence of pain. “I could have gotten up off the bed and gone home that night!”

With the TAVR procedure, doctors are able to use a stent to avoid removing the aortic valve as a whole. The stent is about an inch across, but can be squeezed down to the size of a pencil and inserted through an artery in the groin or the neck. Once in place, the stent helps the valve to open and allow the blood to travel throughout the body.

The TAVR procedure was first performed with patients who were not candidates for surgery because they were too ill. “It’s

safe as an open surgery, especially for older patients,” says Dr. Mellitt. “It’s been a tremendous technology.”

For patients who are candidates, the TAVR procedure is ideal as it has a lower risk and greatly reduces the recovery period, as well as the level of pain experienced postoperatively. For Donald, his recovery was as simple as visiting the Cardiovascular Rehab program for 36 days, and performing exercises to give his heart time to adhere to the valve. “I’d do it again in a heartbeat,” says Donald.

Donald is currently enjoying the winter months once more in Englewood, Florida, just south of Sarasota. Thanks to the TAVR procedure and a resilient spirit, Donald is able to enjoy his favorite activities including fishing, dinners with friends, and sightseeing, all at full functionality. By Tiffany Schmidt

MyBooneHealth.org

21

A COMMON PROBLEM Boone Hospital Center’s Women’s Therapy Services program helps women return to their daily routines.

T

he pelvic floor is a group of muscles which supports the pelvic organs. “The pelvic floor controls the bladder and bowels, and supports the uterus. When the muscles in the pelvis relax, the pelvic organs are able to pass waste. For women, it is especially important to maintain strong pelvic muscles.

Suzanne Price had experienced pelvic floor issues in the past. Her main symptom was a high frequency of needing to use the restroom, which would impede her day-to-day activities.

“You just feel like you have to go to the bathroom all the time,” says Suzanne. These symptoms weren’t new to Suzanne, as she had a past history of pelvic floor issues. A physician suggested Suzanne try physical therapy.

Pelvic floor dysfunction occurs when the body is unable to control the contracting or relaxing of the pelvic floor muscles. “Some women don’t have enough muscle tone, so they will experience issues; however, my issue was that I actually had too much muscle tone, so I was having pelvic floor spasms which mimic a urinary tract infection,” Suzanne explains.

The 10-week process started this past August. Suzanne had visited Boone Therapy before, but was impressed with the new techniques she was taught: “Nicole was very hands on. She’d show me how to do things and then I would try to do them on my own within the therapy session.”

22

BOONE HOSPITAL CENTER

Winter 2020

For Suzanne it wasn’t so much the strengthening of muscles but the full relaxation. She and her physical therapist, Nicole Tunink, PT, DPT, would focus on breathing in conjunction with abdominal strengthening, as well as working on hip mobility including hamstring and hip adductor flexibility, and a lot of time relaxing her pelvic floor.

After the sessions, Suzanne would perform easy “homework” assignments based on what Nicole had taught her. She would then share the week’s results with Nicole so that she could make any adjustments to Suzanne’s therapy plan.

Suzanne’s therapy was unique in that Nicole would use an electrical stimulation machine during their therapy sessions.

“You get hooked up to a machine and it will show the level of muscle tone. If it’s too high, they can set the machine for 10 minutes (or a given amount of time), and it will wear the muscles out. After that, you can see where you’ve relaxed.

“By the second session, I was already feeling relief,” says Suzanne. By the end of six weeks, her muscles were not as

tense or tight, and she was able to complete her daily routines unbothered. Nicole also walked her through strengthening and abdominal stretching techniques that she could continue to do on her own. “It really comes down to self-care,” says Suzanne.

The program was recently brought back to Boone Therapy to give women options to manage their discomfort. “Pelvic floor dysfunction is not commonly referred, but it is a common problem,” says Nicole. “Many women that have had kids, or even those who haven’t have some kind of pelvic floor dysfunction or urinary incontinence.”

Pelvic floor dysfunction may be an uncomfortable subject for some women, yet, “The people who do talk about it and get care for it are so happy that they did,” says Outpatient Therapy Supervisor, Ingrid Minge MBA, PT, DPT. There is no limit to diagnoses at the Women’s Therapy Center. “If someone is uncomfortable with how their pain, bladder, or bowel functions are affecting their life, I’ll chat with them to see how I can help,” says Nicole. By Tiffany Schmidt

MyBooneHealth.org

23

GETTING TO KNOW A BHC DOCTOR

Hussein Waliye, MD Boone Medical Group Surgery

I

was born and raised in the Oromia region of Ethiopia. I came to the United States in 2001 as a refugee. I completed my undergraduate degree in Chemistry and Biochemistry at the University of Minnesota Twin Cities in 2009. I then attended the University of Iowa, Carver College of Medicine for medical school. I completed my surgical residency program at Spectrum Health/Michigan State University, then relocated with my wife and two children to Columbia following my residence training.

Why did you get into the health care field?

I grew up in Ethiopia where people had minimal access to health care. I watched my neighbors die from treatable diseases like perforated appendicitis. I saw a lot of people suffer from the AIDS epidemic and tuberculosis. These experiences started my interest in health care, which later solidified during my undergraduate years.

What interested you in your particular specialty? What interested me most about surgery is the ability to cure diseases with surgical intervention, while at the same time taking care of complex medical problems.

What is the most rewarding part of your job? The most rewarding part of my job is seeing a patient with a particular problem, then being able to fix their problem most of the time.

There is nothing more rewarding than to operate on a patient with acute appendicitis and then see their immediate relief from pain after surgery.

What is the most challenging aspect of your job? The most challenging part of my job is telling patients “no” or “not at this time” when they come to me looking for an operative intervention. I usually follow this with a long explanation and a review of literature, but it does not make the interaction any easier.

What advice would you give someone looking to become a doctor? Medicine is a very exciting field and obviously requires a commitment. Before making your decision,

24

BOONE HOSPITAL CENTER

Winter 2020

explore all fields that interest you. Once you decide on medicine, make sure you explore all areas of medicine. Your decision should not be based on what is easy and convenient, but on what holds your interest the most.

What do you see changing in health care in the next five to 10 years? The biggest change will probably be advancement in technology.

What do you enjoy doing outside of work? I enjoy working out, going for walks and biking, but most importantly I enjoy spending time with my wife and children.

What advice would you give to someone who is going to be a patient in a hospital for a period of time? The most important thing for your recovery while in the hospital is to be motivated, to stay active through participation in therapies and to have a positive attitude.

GETTING TO KNOW A BHC NURSE

Lindsay Divins, RN ICU and Step Down Unit

I

am from the small town of Vandalia, Missouri.

I graduated from Van-Far High School and went on to get my LPN at Strawn. I then got my associates in nursing at Columbia College.

Generally, the first questions I get asked are “Did you play basketball?” and “How tall are you?”

Well, I’m 6’2” and, yes, I did play basketball in high school!

Why did you get into the health care field?

I actually started college to become a CPA. I ended up not wanting to continue on that path and moved home. I had to get a job, and my mom’s friend, Robin, who worked at the VA home in Mexico, Missouri., helped me get a job there. I fell in love with those guys and with health care. At that point, I knew that taking care of people and making a difference in their lives was my calling.

What interested you in your particular specialty? Prior to becoming a supervisor, I was a Neuro ICU nurse. The brain is so complex and interesting – just a little change can mean something big. I liked the critical thinking and challenge of this specialty. Dr. Charles Bondurant has taught me a lot over the years.

What is the most rewarding part of your job? Knowing that our patients and their families get the care they deserve. After our patients leave the ICU, we normally have no idea how things are going, so when our patients come back to visit and walk in, it’s amazing and really warms my heart!

What is the most challenging aspect of your job?

It is hard when we lose a patient. Sometimes we cry with our patients’ families.

What has changed in your field since you started practicing? Our patient charts are all electronic now.

Physicians enter orders through the computer – no more trying to decipher their handwriting!

What do you see changing in the next five to 10 years? Well, for one thing, Boone Hospital will be

independent and I’m excited. I’ve been here for almost 14 years and will continue to have Boone’s back. I anticipate more technology changes and more changes in general to decrease negative outcomes.

What do you enjoy doing outside of work? I have two kids – Gavin,10, and Gabri, 7 – who are my everything. My kids, my boyfriend and his children love spending time together doing stuff outside during the summer. We enjoy swimming at the pool, playing sport activities in the front yard and barbecuing all year round.

What advice would you give someone looking to become a nurse? This job is for people who are dedicated, compassionate and who want to make a difference in the lives of patients and their families.

MyBooneHealth.org

25

Delsha Sledge retrieves patient care supplies on the Orthopaedic Specialties unit.

Tech Support Boone Hospital’s PCT training program starts careers and supports patients.

I

n 2016, Alivia Forck had been working at Boone Hospital Center as a housekeeper on the Orthopaedic Specialties Unit when a charge nurse encouraged her to apply for the hospital’s Patient Care Tech training program.

“I thought I wanted a nursing career, but I wanted to climb the ladder slowly,” Alivia says. The program, which provides paid training required to be a patient care tech, or PCT, appealed to her as an opportunity to start her career in patient care at Boone Hospital.

“There are several ways to be a PCT. You can go to CNA school and get a license. You can go to nursing school and

26

BOONE HOSPITAL CENTER

Winter 2020

once you’ve finished your fundamentals class, you can work as a PCT. Or, you can complete a hospital-based training program,” explains Velvet Meers, MSN, RN-BC, a nurse, clinical practice educator and program instructor.

PCTs help patients with their basic needs; checking vital signs, assisting with eating, dressing, bathing, grooming and helping them walk. Hospitals face a shortage of qualified patient care techs, which in turn affects nurses.

“PCTs are the nurse’s eyes and ears because they spend the most time with a patient,” Velvet says. “Really, they are the foundation of patient care for the hospital. When a nurse has

Apply to be a PCT trainee online at boone.org/apply

Alivia Forck was a housekeeper on her unit when a nurse encouraged her to train to be a PCT

an excellent PCT working with them, it makes the day so much smoother.”

Boone Hospital currently offers three to four PCT trainee programs each year, which are open to current and prospective employees. Group sizes vary – the largest cohort included 14 trainees. The program attracts high school grads to people with degrees in other fields.

The 6-week program begins with hands-on classroom education. In the hospital’s skills lab, PCT trainees practice CPR on manikins or take their classmates’ blood pressure. Classroom training is followed by a clinical practicum on a unit. Trainees are supervised by an experienced PCT and registered nurse. During their practicum, the trainees meet with instructors at the end of each day to discuss their experiences and ask questions. Clinical educators from the program also round units to check in on everyone.

“We want them to be successful, and we’re invested in them,” Velvet explains.

“It’s important they know someone has their back while they’re learning.”

Alivia says she definitely felt supported: “I was very scared at first, but everyone was so awesome at explaining and answering my questions. The instructors were very kind and patient.

Even when we were in our clinicals, they checked on us every day to make sure we felt comfortable.”

“Everyone is timid at first,” Velvet says.

“But, as they learn more, I enjoy watching trainees build the confidence necessary to be a competent PCT.” “At first, I was nervous about taking blood pressures – what if I were to hurt someone?” recalls PCT Delsha Sledge.

She says that fear quickly evaporated, thanks to her instructors and preceptors.

She also enjoyed being able to learn the job on-site at Boone Hospital.

Delsha’s role as a unit secretary for Orthopaedic Specialties piqued her interest in a medical career. Like Alivia, Delsha thought the PCT trainee program

would be a good start and completed it in 2018. She’s currently in nursing school and says that her education and experience as a PCT helps with her classes. Alivia is also taking classes in preparation to earn a nursing degree.

“We’ve had many PCTs become nurses,” Velvet says. “We had a PCT on Oncology who decided they wanted to learn to be a telemetry tech. Boone’s all about growing their employees.”

Even as trainees, PCT program participants are also paid employees.

Velvet says, “From day one, they’re learning our policies and our culture. This is a great way not to just start a health care career but to become part of the Boone Family and our high standards of patient care. We want them to be committed to quality care.”

Both Alivia and Delsha enjoy their current jobs as PCTs and encourage others interested in caring for patients at Boone Hospital to apply for upcoming PCT trainee programs.

“I was very happy I did it. I think everyone should be a PCT before they become a nurse!” Alivia says.

Delsha adds that not only has the program helped her with her career path, becoming a PCT has also been personally enriching. She says, “I’m more compassionate towards people now.”

Velvet enjoys hearing from PCTs who’ve completed the program. She says, “It’s exciting to see them grow and enjoy the satisfaction of helping someone else.

It confirms that they made the right decision to come into health care.”

The PCT trainee program doesn’t just benefit its participants – with more trained PCTs on Boone Hospital Center’s staff, nurses and other clinicians have more support and, most importantly, patients benefit from their care. By Jessica Park

Interested in being a PCT trainee?

Apply online at boone.org/apply or contact Boone Hospital Human Resources at 573.815.3500 to learn more.

MyBooneHealth.org

27

LIVING WELL

Winter Workout When the worst of winter weather hits mid-Missouri, you can stay strong, safe and active!

D

uring the winter, the idea of leaving our homes becomes less appealing. Cold weather pushes us deeper into our caves and brings a plethora of dangerous conditions and unwanted chores. Every year, Missouri winters bring ice, snow and wind chills below zero – conditions that don’t encourage us to get out and exercise. Meanwhile, our risk of potential injury significantly increases. Every winter, people face injuries from slips, falls or overexertion while shoveling snow. If you’re headed out to the driveway this winter, treat your snow shoveling experience like a trip to the gym! Use these tips and tricks to stay active while you avoid potential muscle pulls, strains or back injuries

1. Warm up An effective warm-up before exercise is essential to make sure your muscles are primed and ready to perform.

Working muscles need increased blood flow and circulation.

A 5-minute warm-up before you go outside to shovel can help loosen up joints, increase your heart rate and reduce your risk of injury. Set your watch, stove or cell phone timer for five minutes and get moving. Using home exercise equipment – like a stationary bike or treadmill – at a comfortable pace is sufficient. If you don’t have exercise equipment, you can do body weight exercises. Sit-to-stands from a stable chair, marching in place, jumping jacks, countertop push-ups or walking laps around your living room will elevate your heart rate – just keep moving for five minutes!

2. Use proper technique When shoveling snow, many people try to scoop the snow with the shovel, lift it and dump it to the side of the path.

This lifting motion is responsible for many of our wintertime back injuries. An easy way to prevent injury is to avoid the lifting motion and use a pushing technique, like a plow truck. Push snow off to the sides of the driveway or sidewalk to clear a path without putting strain on your back. If you must use a lifting motion, don’t overload your shovel. Keep

28

BOONE HOSPITAL CENTER

Winter 2020

the load light, especially with dense and wet snow. Make sure you lift using your legs and core, not just your back.

Bend at your knees when you lift, keeping your back straight and your center of gravity over your feet. Avoid quick twisting motions like throwing snow over your shoulder. An ergonomically correct shovel can also help prevent injury.

They’re lighter than normal shovels and have a contoured handle designed to reduce or eliminate bending.

3. Take breaks At the gym, our bodies require us to rest between sets and exercises. Break your workload into small sections and rest between them to prevent overexertion. Shovel in 10- or 15-minute increments. In cold weather, you may have trouble catching your breath or feeling your extremities, unaware of how chilled you are. Go inside to defrost.

4. Breathe Breathing cold air can irritate your airway and cause respiratory muscles to constrict, which narrows the airway and makes it harder to breathe. Focus on proper breathing technique outsides. Pursed lip breathing is done by breathing in through your nose and exhaling out the mouth with pursed lips. Imagine blowing on a spoonful of hot soup. Exhale for slightly longer than you inhale. This technique maintains resistance in your airway, keeping it open. Breathing in through your nose also briefly warms the air and reduces airway irritation. A scarf or mask worn over your face can also warm the air and help you breathe more comfortably.

5. Keep your legs and core strong Many of the muscles used to shovel snow are in your core and legs. An exercise program with resistance training for these muscle groups can help prevent injury. These exercises can be performed in the comfort of your home, and keep you fit and active while battling the cold Missouri winter!

By Hunter Blume, BES, ACSM, CEP

For more information, visit boone.org/therapy or call 573.815.3868

Bodyweight Squats Stand with feet shoulder-width apart and toes turned out slightly. Brace your core and begin by bending your hips and knees, driving your glutes and hips backwards as if sitting in a chair. Keep your knees out and head and chest up as you squat to a comfortable depth, ideally with your hips slightly lower than or even with your knees. Pause, then return to starting position, driving through your heels, straightening knees and hips. Repeat for desired number of repetitions.

Dead Bugs Lie on your back and push your shoulders firmly into the floor. To start, lift your hands so your elbows are above your shoulders, with your fists facing in toward each other.

Lift your legs so knees are directly over your hips. While exhaling, slowly lower your right arm and left leg until they’re just above the floor. While inhaling, return to the starting position. Repeat on each side for 10 repetitions.

Alternate: Sit-to-Stands. Sit on the front half of a stable chair, then drive through your heels to stand. Return to seated position in a slow, controlled manner.

Gluteal Bridges Seated Leg Extensions Sit on the front half of a stable chair with feet planted on the floor. Keep your core braced and back straight as you flex at the knee. Lift one leg until it is straight out in front of you.

Hold for three seconds, then slowly return to starting position.

Repeat with opposite leg. Try 10 repetitions with each leg.

Lie flat on your back with your knees bent and feet flat on the floor. Place your hands palms down on the floor beside your buttocks. Engage your core and lift your buttocks off the ground as you keep your shoulder blades against the floor. Lift until your body is held in a straight line from your shoulders to your knees. Hold this position for three to six seconds. Slowly return to the starting position. Repeat for eight to 10 repetitions.

MyBooneHealth.org

29

FOUNDATION NEWS

Thank you for a Successful 2019!

Thank you to all of our wonderful donors this past year. Your generosity allows Boone Hospital Foundation to continue to share the gift of health. To view a complete list of donors for 2019’s Community Campaign, Annual Golf Tournament and Annual Gala, or to learn more about the Foundation and how you can make a difference with your donation, please visit boone.org/foundation.

Anna-Marie Knipp hosted the Horsepower with Heart event at High Spirits Farms on June 22. Over $93,000 was raised.

30

BOONE HOSPITAL CENTER

Winter 2020

Custom Complete Automotive held a 50/50 raffle at a spring Coffee and Cars show and donated proceeds to the Stewart Cancer Center.

Funded kitchen equipment for cooking classes for Pritikin Intensive Cardiac Rehab program

Looking Forward to 2020

As we look forward to an exciting 2020, we hope you will join the Foundation in our mission to share the gift of health. Visit our website throughout the year for more information on all of our upcoming 2020 events.

The Boone Hospital Foundation Golf Tournament was held on May 13 at the Club at Old Hawthorne and raised over $61,000.

2020

CALENDAR OF EVENTS JANUARY 8 & 9

Linen Sale FEBRUARY 11 & 12

Scrubs on Site SPRING 2020

Flower/Plant Sale MARCH 23-25

Collective Goods Sale MAY 11

Annual Golf Tournament MAY 27 & 28

Scrubs on Site JULY 2020

Community Campaign AUGUST 25 & 26

Scrubs on Site FALL 2020

Jewelry Sale The Foundation Soiree was held on November 9 at the Executive Center and raised over $145,000.

NOVEMBER 10 & 11

Scrubs on Site NOVEMBER 2020

Annual Gala DECEMBER 2020

COMO Gives Campaign

MyBooneHealth.org

31

Boone Hospital Center 1600 East Broadway Columbia, MO 65201 573-815-8000

NONPROFIT U.S. POSTAGE

PAID

COLUMBIA, MO PERMIT 286

Boone Hospital Center

Heart Fair 2020 Celebrating our 20th annual on 2/20/2020 6 a.m.-12 p.m. in the Boone Hospital Conference Center Free health screenings: blood pressure, cholesterol levels and blood glucose - Your blood test results are available immediately and reviewed one-on-one with a clinician -

Enter for a chance to win a free calcium scoring screening Cooking demonstrations with recipes to take home Information on exercise and fitness Learn about our state-of-the-art treatment options Discover mid-Missouri’s only Pritikin CertifiedTM Cardiac Rehab

Appointments are recommended - walk-ins are welcome To register, call 573.815.6400 or 800.872.9008 (M-F, 8 a.m.-5 p.m.) or online at www.boone.org For best results, fast at least 8 hours prior to screening